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    Clinical Trial Results:
    An Open-Label Study of Brentuximab Vedotin+Adriamycin, Vinblastine, and Dacarbazine in Pediatric Patients With Advanced Stage Newly Diagnosed Hodgkin Lymphoma

    Summary
    EudraCT number
    2015-004112-38
    Trial protocol
    IT   ES  
    Global end of trial date
    24 Sep 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Apr 2022
    First version publication date
    08 Apr 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    C25004
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02979522
    WHO universal trial number (UTN)
    U1111-1171-0984
    Sponsors
    Sponsor organisation name
    Takeda
    Sponsor organisation address
    95 Hayden Avenue, Lexington, United States, MA 02421
    Public contact
    Study Director, Takeda, TrialDisclosures@takeda.com
    Scientific contact
    Study Director, Takeda, TrialDisclosures@takeda.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-000980-PIP01-10
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    09 Sep 2021
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    24 Sep 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The purpose of this study is to assess the safety, tolerability, and anti-tumor activity, as well as confirm the recommended dose of brentuximab vedotin (ADCETRIS) in combination with a multiagent chemotherapy regimen, doxorubicin (Adriamycin), vinblastine, and dacarbazine, in pediatric participants with advanced stage newly diagnosed classical CD30+ Hodgkin Lymphoma (HL).
    Protection of trial subjects
    All study participants were required to read and sign an Informed Consent Form (ICF).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Sep 2017
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety
    Long term follow-up duration
    10 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United States: 12
    Country: Number of subjects enrolled
    Brazil: 30
    Country: Number of subjects enrolled
    Italy: 15
    Country: Number of subjects enrolled
    Japan: 2
    Worldwide total number of subjects
    59
    EEA total number of subjects
    15
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    11
    Adolescents (12-17 years)
    48
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Participants with advanced stage newly diagnosed, classical CD30+ Hodgkin Lymphoma (HL) took part in the study at 14 investigative sites in the United States, Italy, Brazil and Japan from 06 September 2017 to 24 September 2021.

    Pre-assignment
    Screening details
    Participants with advanced stage newly diagnosed, classical CD30+ HL were received brentuximab vedotin in combination with doxorubicin, vinblastine, and dacarbazine(A+AVD). Data for Phase 2 endpoints is reported for Phase 2 participants only and all participants treated in Phase 1 with additional enrolled participants in Phase 2.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Arm description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.
    Arm type
    Experimental

    Investigational medicinal product name
    Brentuximab vedotin
    Investigational medicinal product code
    Other name
    Adcetris
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravascular use
    Dosage and administration details
    Brentuximab vedotin 48 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Vinblastine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vinblastine 6 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Dacarbazine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Dacarbazine 375 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Doxorubicin
    Investigational medicinal product code
    Other name
    Adriamycin
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Doxorubicin 25 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Arm title
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Arm description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.
    Arm type
    Experimental

    Investigational medicinal product name
    Brentuximab vedotin
    Investigational medicinal product code
    Other name
    Adcetris
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravascular use
    Dosage and administration details
    Brentuximab vedotin 48 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Doxorubicin
    Investigational medicinal product code
    Other name
    Adriamycin
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Doxorubicin 25 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Vinblastine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Vinblastine 6 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Investigational medicinal product name
    Dacarbazine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Dacarbazine 375 mg/m^2 infusion once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Number of subjects in period 1
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Started
    8
    51
    Completed
    8
    51

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Reporting group title
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Reporting group values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Total
    Number of subjects
    8 51 59
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    12.4 ± 3.81 13.9 ± 2.88 -
    Gender categorical
    Units: Subjects
        Female
    4 24 28
        Male
    4 27 31
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    2 21 23
        Not Hispanic or Latino
    6 26 32
        Unknown or Not Reported
    0 4 4
    Race/Ethnicity
    Units: Subjects
        Asian
    0 3 3
        Black or African American
    0 12 12
        White
    8 26 34
        Brown or Mulatto
    0 9 9
        Unknown or Not Reported
    0 1 1
    Region of Enrollment
    Units: Subjects
        United States
    2 10 12
        Japan
    0 2 2
        Italy
    5 10 15
        Brazil
    1 29 30
    Weight
    Units: kilograms (kg)
        arithmetic mean (standard deviation)
    45.91 ± 18.867 49.91 ± 15.649 -
    Subject analysis sets

    Subject analysis set title
    Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Subject analysis sets values
    Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects
    59
    Age categorical
    Units: Subjects
        In utero
        Preterm newborn infants (gestational age < 37 wks)
        Newborns (0-27 days)
        Infants and toddlers (28 days-23 months)
        Children (2-11 years)
        Adolescents (12-17 years)
        Adults (18-64 years)
        From 65-84 years
        85 years and over
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    0 ± 0
    Gender categorical
    Units: Subjects
        Female
        Male
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
        Not Hispanic or Latino
        Unknown or Not Reported
    Race/Ethnicity
    Units: Subjects
        Asian
        Black or African American
        White
        Brown or Mulatto
        Unknown or Not Reported
    Region of Enrollment
    Units: Subjects
        United States
        Japan
        Italy
        Brazil
    Weight
    Units: kilograms (kg)
        arithmetic mean (standard deviation)
    ±

    End points

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    End points reporting groups
    Reporting group title
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Reporting group title
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Subject analysis set title
    Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Subject analysis set type
    Full analysis
    Subject analysis set description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Primary: Phase 1: Recommended Dose of Brentuximab Vedotin in Combination With Doxorubicin, Vinblastine, and Dacarbazine in a Pediatric Population

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    End point title
    Phase 1: Recommended Dose of Brentuximab Vedotin in Combination With Doxorubicin, Vinblastine, and Dacarbazine in a Pediatric Population [1] [2]
    End point description
    The recommended dose was determined after considering all safety data in phase 1 and assessing for dose limiting toxicities (DLTs) which are defined as the dose range at which less than or equal to (<=) 1 of 6 evaluable participants experience DLT within the defined observation period (Cycle 1 + 28 days). This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The DLT-evaluable population included participants who had received at least 1 dose of study drug therapy and experienced a DLT or no DLT during the DLT observation period. Participants who received granulocyte colony stimulating factor (G-CSF) during the DLT observation period were excluded from the DLT-Evaluable Population.
    End point type
    Primary
    End point timeframe
    From the first dose (Cycle 1) up to Day 56 (Cycle length=28 days)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    6
    Units: mg/m^2
        number (not applicable)
    48
    No statistical analyses for this end point

    Primary: Phase 1: Percentage of Participants Who Experienced Adverse Events (AEs) From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy

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    End point title
    Phase 1: Percentage of Participants Who Experienced Adverse Events (AEs) From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy [3] [4]
    End point description
    AE means any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to the medicinal product. This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The safety population included participants who had received at least 1 dose of any study drug (A+AVD regimen).
    End point type
    Primary
    End point timeframe
    From first dose in Cycle 1 Day 1 until 30 days after the last dose of study drug in Cycle 6 Day 15 (up to Cycle 7 Day 15) (Cycle length=28 days)
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (not applicable)
    100
    No statistical analyses for this end point

    Primary: Phase 1: Percentage of Participants Who Experienced Serious Adverse Events (SAEs) From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy

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    End point title
    Phase 1: Percentage of Participants Who Experienced Serious Adverse Events (SAEs) From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy [5] [6]
    End point description
    AE means any untoward medical occurrence in a participant administered a pharmaceutical product; the untoward medical occurrence does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product whether or not it is related to the medicinal product. SAE is defined as any untoward medical occurrence that at any dose results in death, Is life-threatening, requires inpatient hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability or incapacity, Is a congenital anomaly/birth defect, Is a medically important event. The safety population included participants who had received at least 1 dose of any study drug (A+AVD regimen).
    End point type
    Primary
    End point timeframe
    From first dose in Cycle 1 Day 1 until 30 days after the last dose of study drug in Cycle 6 Day 15 (up to Cycle 7 Day 15) (Cycle length=28 days)
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (not applicable)
    13
    No statistical analyses for this end point

    Primary: Phase 2: Percentage of Participants Who Achieved a Complete Remission (CR) Per Independent Review Facility (IRF) Assessment Per International Working Group (IWG) Criteria at End of Treatment (EOT) Visit

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    End point title
    Phase 2: Percentage of Participants Who Achieved a Complete Remission (CR) Per Independent Review Facility (IRF) Assessment Per International Working Group (IWG) Criteria at End of Treatment (EOT) Visit [7] [8]
    End point description
    CR was defined as the disappearance of all evidence of disease as assessed by IRF as per IWG Criteria. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed for all participants treated at the recommended dose in Phase 2. As prespecified in the statistical analysis plan (SAP) , data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Primary
    End point timeframe
    At end of treatment (EOT) visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (confidence interval 95%)
    75 (60 to 86)
    76 (63 to 86)
    No statistical analyses for this end point

    Primary: Phase 2: Percentage of Participants Whose Disease Was Positron Emission Tomography (PET) Negative After 2 Cycles of Protocol Therapy Per IRF Assessment

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    End point title
    Phase 2: Percentage of Participants Whose Disease Was Positron Emission Tomography (PET) Negative After 2 Cycles of Protocol Therapy Per IRF Assessment [9] [10]
    End point description
    The Deauville score according to IRF assessment of response was used to evaluate the results of PET scans. PET negative after Cycle 2 was defined as an IRF Deauville score of (1 or 2 or 3). This outcome measure was planned to be assessed for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Primary
    End point timeframe
    From first dose of study drug up to Cycle 2 Day 25 (Each Cycle length=28 days)
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (not applicable)
    90
    90
    No statistical analyses for this end point

    Primary: Phase 2: Percentage of Participants Who Achieved a Partial Remission (PR) Per IRF Assessment Per IWG Criteria at EOT Visit

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    End point title
    Phase 2: Percentage of Participants Who Achieved a Partial Remission (PR) Per IRF Assessment Per IWG Criteria at EOT Visit [11] [12]
    End point description
    PR was defined as regression of measurable disease and no new sites as assessed by IRF as per IWG criteria. Percentage of participants in the response-evaluable population who achieved a partial response based on the IRF assessment at the EOT visit based on the IWG criteria are reported. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Primary
    End point timeframe
    At EOT visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (confidence interval 95%)
    12 (6 to 20)
    12 (5 to 23)
    No statistical analyses for this end point

    Primary: Phase 2: Percentage of Participants Who Achieved an Overall Response Rate (ORR) Per IRF Assessment Per IWG Criteria at EOT Visit

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    End point title
    Phase 2: Percentage of Participants Who Achieved an Overall Response Rate (ORR) Per IRF Assessment Per IWG Criteria at EOT Visit [13] [14]
    End point description
    Overall response rate was defined as the percentage of participants with CR or PR as assessed by IRF using IWG criteria. CR was defined as the disappearance of all evidence of disease and PR was defined as regression of measurable disease and no new diseases. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Primary
    End point timeframe
    At EOT visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (confidence interval 95%)
    86 (74 to 94)
    88 (77 to 95)
    No statistical analyses for this end point

    Primary: Phase 2: Percentage of Participants Who Were Able to Complete 6 Cycles of Protocol Therapy at the Recommended Dose

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    End point title
    Phase 2: Percentage of Participants Who Were Able to Complete 6 Cycles of Protocol Therapy at the Recommended Dose [15] [16]
    End point description
    This outcome measure was planned to be assessed for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety population included participants who had received at least 1 dose of any study drug (A+AVD regimen).
    End point type
    Primary
    End point timeframe
    From first dose of study drug up to Cycle 6 (Each Cycle length=28 days)
    Notes
    [15] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (not applicable)
    100
    100
    No statistical analyses for this end point

    Primary: Phase 1: Mean Maximum Observed Serum Concentration (Cmax) of Brentuximab Vedotin Total Conjugated and Therapeutic Antibody (TAb)

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    End point title
    Phase 1: Mean Maximum Observed Serum Concentration (Cmax) of Brentuximab Vedotin Total Conjugated and Therapeutic Antibody (TAb) [17] [18]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter. 'n'= Number analysed is number of participants with data available for analysis at the given time point.
    End point type
    Primary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [17] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Statistical analyses was available for this endpoint.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8 [19]
    Units: microgram per milliliter(mcg/mL)
    arithmetic mean (standard deviation)
        Conjugate Brentuximab Vedotin at Cycle 1 Day 1
    22.6 ± 1.51
        Conjugate Brentuximab Vedotin at Cycle 1 Day 15
    23.1 ± 3.85
        Conjugate Brentuximab Vedotin at Cycle 3 Day 1
    26.7 ± 3.65
        Conjugate Brentuximab Vedotin at Cycle 3 Day 15
    27.3 ± 7.14
        TAb at Cycle 1 Day 1
    24.9 ± 3.84
        TAb at Cycle 1 Day 15
    25.5 ± 5.28
        TAb at Cycle 3 Day 1
    29.6 ± 4.05
        TAb at Cycle 3 Day 15
    28.1 ± 7.45
    Notes
    [19] - n= 7,6,8,7,7,6,6,6
    No statistical analyses for this end point

    Secondary: Phase 1: Mean Maximum Observed Plasma Concentration (Cmax) of Monomethyl Auristatin E (MMAE)

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    End point title
    Phase 1: Mean Maximum Observed Plasma Concentration (Cmax) of Monomethyl Auristatin E (MMAE) [20]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: nanogram per milliliter (ng/ml)
    arithmetic mean (standard deviation)
        Cycle 1 Day 1 (n=8)
    5.51 ± 0.677
        Cycle 1 Day 15 (n=6)
    2.08 ± 0.677
        Cycle 3 Day 1 (n=8)
    1.38 ± 0.514
        Cycle 3 Day 15 (n=7)
    1.19 ± 0.366
    No statistical analyses for this end point

    Secondary: Phase 1: Mean Area Under the Serum Concentration-Time Curve From Day 0 to Day 15 (AUC0-15) of Brentuximab Vedotin and TAb

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    End point title
    Phase 1: Mean Area Under the Serum Concentration-Time Curve From Day 0 to Day 15 (AUC0-15) of Brentuximab Vedotin and TAb [21]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    7 [22]
    Units: day*microgram per milliliter(day*mcg/mL)
    arithmetic mean (standard deviation)
        AUC0-15d of Brentuximab Vedotin at Cycle 1 Day 1
    42.3 ± 3.10
        AUC0-15d of Brentuximab Vedotin at Cycle 1 Day 15
    48.8 ± 5.83
        AUC0-15d of Brentuximab Vedotin at Cycle 3 Day 1
    72.7 ± 27.8
        AUC0-15d of Brentuximab Vedotin at Cycle 3 Day 15
    64.8 ± 13.5
        AUC0-15d of TAb at Cycle 1 Day 1 (n=7)
    80.6 ± 13.0
        AUC0-15d of TAb at Cycle 1 Day 15 (n=6)
    103 ± 14.6
        AUC0-15d of TAb at Cycle 3 Day 1 (n=6)
    127 ± 10.2
        AUC0-15d of TAb at Cycle 3 Day 15 (n=6)
    128 ± 34.4
    Notes
    [22] - n=7,6,7,6,7,6,6,6
    No statistical analyses for this end point

    Secondary: Phase 1: Mean Area Under the Plasma Concentration-Time Curve From Day 0 to Day 15 (AUC0-15) of MMAE

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    End point title
    Phase 1: Mean Area Under the Plasma Concentration-Time Curve From Day 0 to Day 15 (AUC0-15) of MMAE [23]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    7
    Units: day* nanogram per milliliter (day*ng/mL)
    arithmetic mean (standard deviation)
        Cycle 1 Day 1 (n=7)
    29.8 ± 21.2
        Cycle 1 Day 15 (n=3)
    13.1 ± 2.99
        Cycle 3 Day 1 (n=7)
    8.88 ± 2.53
        Cycle 3 Day 15 (n=4)
    7.17 ± 2.17
    No statistical analyses for this end point

    Secondary: Phase 1: Median Time to Reach Cmax (Tmax) of Brentuximab Vedotin and TAb in Serum

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    End point title
    Phase 1: Median Time to Reach Cmax (Tmax) of Brentuximab Vedotin and TAb in Serum [24]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Cycle 1-6: Days 1 and 15 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: hour
    median (full range (min-max))
        Tmax of Brentuximab Vedotin at Cycle 1 Day 1 (n=7)
    1.00 (0.570 to 1.05)
        Tmax of Brentuximab Vedotin at Cycle 1 Day 15 n=6
    0.915 (0.580 to 1.00)
        Tmax of Brentuximab Vedotin at Cycle 3 Day 1 (n=8)
    1.00 (0.630 to 1.17)
        Tmax of Brentuximab Vedotin at Cycle 3 Day 15 n=7
    0.830 (0.580 to 1.00)
        Tmax of TAb at Cycle 1 Day 1 (n=7)
    1.00 (0.570 to 1.05)
        Tmax of TAb at Cycle 1 Day 15 n=6
    0.915 (0.580 to 1.00)
    No statistical analyses for this end point

    Secondary: Phase 1: Median Time to Reach Cmax (Tmax) of MMAE in Plasma

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    End point title
    Phase 1: Median Time to Reach Cmax (Tmax) of MMAE in Plasma [25]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: hour
    median (full range (min-max))
        Cycle 1 Day 1 (n=8)
    44.9 (21.1 to 69.1)
        Cycle 1 Day 15 (n=6)
    43.1 (41.2 to 45.9)
        Cycle 3 Day 1 (n=8)
    48.0 (42.3 to 66.9)
        Cycle 3 Day 15 (n=7)
    48.2 (20.8 to 67.0)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Who Achieved a CR Per IRF Assessment Per IWG Criteria at EOT Visit

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    End point title
    Phase 1: Percentage of Participants Who Achieved a CR Per IRF Assessment Per IWG Criteria at EOT Visit [26]
    End point description
    CR was defined as the disappearance of all evidence of disease as assessed by IRF as per IWG Criteria. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed only for participants treated in Phase 1 arm. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Secondary
    End point timeframe
    At EOT visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (confidence interval 95%)
    88 (47 to 100)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Who Achieved a PR Per IRF Assessment Per IWG Criteria at EOT Visit

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    End point title
    Phase 1: Percentage of Participants Who Achieved a PR Per IRF Assessment Per IWG Criteria at EOT Visit [27]
    End point description
    PR was defined as regression of measurable disease and no new diseases as per IWG Criteria based on IRF. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed only for participants treated in Phase 1 arm. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Secondary
    End point timeframe
    At EOT visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (confidence interval 95%)
    13 (1 to 53)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Who Achieved an ORR Per IRF Assessment Per IWG Criteria at EOT Visit

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    End point title
    Phase 1: Percentage of Participants Who Achieved an ORR Per IRF Assessment Per IWG Criteria at EOT Visit [28]
    End point description
    Overall response rate was defined as the percentage of participants with CR or PR as assessed by an IRF using IWG Revised Response Criteria. CR was defined as the disappearance of all evidence of disease and PR was defined as regression of measurable disease and no new sites. The confidence interval was based on exact binomial distribution (Clopper-Pearson method). This outcome measure was planned to be assessed only for participants treated in Phase 1 arm. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Secondary
    End point timeframe
    At EOT visit 30 days after the last dose of study drug (at Month 7)
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (confidence interval 95%)
    100 (63 to 100)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Whose Disease Was PET Negative After 2 Cycles of Protocol Therapy Per IRF Assessment

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    End point title
    Phase 1: Percentage of Participants Whose Disease Was PET Negative After 2 Cycles of Protocol Therapy Per IRF Assessment [29]
    End point description
    The Deauville score according to IRF assessment of response was used to evaluate the results of PET scans. PET negative after Cycle 2 was defined as an IRF Deauville score of (1 or 2 or 3). This outcome measure was planned to be assessed only for participants treated in Phase 1 arm. Response-evaluable population included participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment based on an independent review facility.
    End point type
    Secondary
    End point timeframe
    From first dose of study drug up to Cycle 2 (Each Cycle length=28 days)
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (confidence interval 95%)
    88 (47 to 100)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Whose Disease Was PET Positive After 6 Cycles of Protocol Therapy Per IRF Assessment

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    End point title
    Phase 1: Percentage of Participants Whose Disease Was PET Positive After 6 Cycles of Protocol Therapy Per IRF Assessment [30]
    End point description
    The Deauville score according to IRF assessment of response was used to evaluate the results of PET scans. PET positive after Cycle 6 defined as an IRF Deauville score of (4 or 5). This outcome measure was planned to be assessed only for participants treated in Phase 1 arm. This outcome measure was planned to be assessed only for participants treated in Phase 1 arm.
    End point type
    Secondary
    End point timeframe
    From first dose of study drug up to Cycle 6 (Each Cycle length=28 days)
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
        number (confidence interval 95%)
    13 (1 to 53)
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Who Were Antitherapeutic Antibody (ATA) Positive, Persistently Positive or Transiently Positive, and Neutralizing Antitherapeutic Antibody (nATA) Positive

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    End point title
    Phase 1: Percentage of Participants Who Were Antitherapeutic Antibody (ATA) Positive, Persistently Positive or Transiently Positive, and Neutralizing Antitherapeutic Antibody (nATA) Positive [31]
    End point description
    ATA positive was defined as participants who have a positive ATA in any postbaseline sample. Transiently ATA positive was defined as participants who have positive ATA in 1 or 2 postbaseline samples. Persistently ATA positive was defined as participants who have positive ATA in more than 2 postbaseline timepoints. Transiently ATA positive was defined as participants who have positive ATA in 1 or 2 postbaseline samples. nATA positive was defined as participants who have at least one positive nATA in any postbaseline ATA positive sample. Here, percentage of participants who were transiently or persistently ATA positive are considered as ATA positive. This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. Immunogenicity population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment.
    End point type
    Secondary
    End point timeframe
    Up to 7 months
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
    number (not applicable)
        Transiently ATA Positive
    13
        Persistently ATA Positive
    0
        nATA Positive
    0
    No statistical analyses for this end point

    Secondary: Phase 2: Progression-free Survival (PFS)

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    End point title
    Phase 2: Progression-free Survival (PFS) [32]
    End point description
    PFS (IRF):time from 1st dose until disease progression per IRF/death due to any cause,whichever occurred first. Endpoint was planned to be assessed for all participant treated at recommended dose in Phase 2.As per SAP,Phase 2 data was summarized and reported in 2 arms:Phases 2 and Phase 1+ Phase 2. Median and 95% CI was not estimable as most of the participants were censored. The safety/efficacy population included participants who received at least 1 dose of any drug in the A+AVD regimen.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: months
        median (confidence interval 95%)
    9999 (9999 to 9999)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Phase 2: Event-free Survival (EFS)

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    End point title
    Phase 2: Event-free Survival (EFS) [33]
    End point description
    EFS:Time from first dose until any treatment failure:PD per IRF including progression events during follow-up period,failing to complete 6 cycles of treatment due to any reason or death due to any cause,whichever occurred first.EFS per IRF were censored on last adequate disease assessment date per IRF if none of above events occur during study. This w endpoint was planned to be assessed for all participants treated at recommended dose in Phase 2.As prespecified in SAP,data for Phase 2 was summarized and reported in two arms:Phase 2 and Phase 1 + Phase 2. The safety/efficacy population included participants who received at least 1 dose of any drug in the A+AVD regimen. For participants who do not have an objective PD and did not die at the last follow-up, EFS has been censored on the date of last adequate disease assessment.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: months
        median (confidence interval 95%)
    9999 (9999 to 9999)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Phase 2: Overall Survival (OS)

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    End point title
    Phase 2: Overall Survival (OS) [34]
    End point description
    Overall survival was defined as time from first dose until death. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive, including study closure. This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety/efficacy population included participants who received at least 1 dose of any drug in the A+AVD regimen. The safety/efficacy population included participants who received at least 1 dose of any drug in the A+AVD regimen.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: months
        median (confidence interval 95%)
    9999 (9999 to 9999)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Phase 2: Duration of Response (DOR)

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    End point title
    Phase 2: Duration of Response (DOR) [35]
    End point description
    DOR per IRF in participants with a response (CR or PR per IRF) was defined as the time from start of the first objective tumor response (CR or PR per IRF) to the first subsequent PD or death due to any cause, whichever occurred first. This endpoint was planned to be assessed only for all participants treated at the recommended dose Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Response Evaluable Population=Participants who received at least one dose of study drug, have measurable disease at baseline, and have at least one post-baseline disease assessment (assessments based on investigator assessments or assessments based on an independent review facility). For participants who do not have an objective PD and did not die at the last follow-up, DOR has been censored on the date of last adequate disease assessment.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [35] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: months
        median (confidence interval 95%)
    9999 (9999 to 9999)
    9999 (9999 to 9999)
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Receiving Irradiation for HL Following Study Treatment

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    End point title
    Phase 2: Percentage of Participants Receiving Irradiation for HL Following Study Treatment [36]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety/efficacy population included participants who received at least 1 dose of any drug in the A+AVD regimen.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (confidence interval 95%)
    25 (14 to 40)
    25 (14 to 37)
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Who Experienced AEs From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy

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    End point title
    Phase 2: Percentage of Participants Who Experienced AEs From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy [37]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety population included participants who had received at least 1 dose of any study drug (A+AVD regimen).
    End point type
    Secondary
    End point timeframe
    From first dose in Cycle 1 Day 1 until 30 days after the last dose of study drug in Cycle 6 Day 15 (up to Cycle 7 Day 15) (Cycle length=28 days)
    Notes
    [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (not applicable)
    100
    100
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Who Experienced SAEs From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy

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    End point title
    Phase 2: Percentage of Participants Who Experienced SAEs From the First Dose of Protocol Therapy Through 30 Days After Administration of the Last Dose of Protocol Therapy [38]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety population included participants who had received at least 1 dose of any study drug (A+AVD regimen).
    End point type
    Secondary
    End point timeframe
    From first dose in Cycle 1 Day 1 until 30 days after the last dose of study drug in Cycle 6 Day 15 (up to Cycle 7 Day 15) (Cycle length=28 days)
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (not applicable)
    45
    41
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Who Were ATA Positive, Persistently Positive, or Transiently Positive, and nATA Positive

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    End point title
    Phase 2: Percentage of Participants Who Were ATA Positive, Persistently Positive, or Transiently Positive, and nATA Positive [39]
    End point description
    ATA positive: participants who have a positive ATA in any postbaseline sample. Transiently ATA positive: participants who have positive ATA in 1 or 2 postbaseline samples. Persistently ATA positive was defined as participants who have positive ATA in more than 2 postbaseline timepoints. Transiently ATA positive: participants who have positive ATA in 1 or 2 postbaseline samples. nATA positive: participants who have at least one positive nATA in any postbaseline ATA positive sample. Here, percentage of participants who were transiently or persistently ATA positive are considered as ATA positive. This endpoint was planned to be assessed only for all participants treated at recommended dose in Phase 2. As prespecified in SAP, Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2.Immunogenicity population: participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment.
    End point type
    Secondary
    End point timeframe
    From first dose until 30 days after the last dose of study drug (up to 7 months)
    Notes
    [39] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
    number (not applicable)
        Transiently ATA Positive
    6
    7
        Persistently ATA Positive
    0
    0
        nATA Positive
    4
    3
    No statistical analyses for this end point

    Secondary: Phase 2: Mean Serum Cmax of Brentuximab Vedotin and TAb

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    End point title
    Phase 2: Mean Serum Cmax of Brentuximab Vedotin and TAb [40]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [41]
    57 [42]
    Units: µg/mL
    arithmetic mean (standard deviation)
        Cmax of Brentuximab Vedotin at Cycle 1 Day 1
    23.1 ± 5.54
    23.0 ± 5.21
        Cmax of Brentuximab Vedotin at Cycle 1 Day 15
    25.3 ± 5.12
    24.9 ± 4.97
        Cmax of Brentuximab Vedotin at Cycle 3 Day 1
    27.4 ± 6.14
    27.3 ± 5.82
        Cmax of Brentuximab Vedotin at Cycle 3 Day 15
    25.4 ± 4.03
    25.8 ± 4.81
        Cmax of TAb Vedotin at Cycle 1 Day 1
    22.1 ± 5.34
    22.4 ± 5.23
        Cmax of TAb Vedotin at Cycle 1 Day 15
    26.5 ± 9.02
    26.4 ± 8.52
        Cmax of TAb Vedotin at Cycle 3 Day 1
    29.5 ± 8.89
    29.5 ± 8.44
        Cmax of TAb Vedotin at Cycle 3 Day 15
    32.2 ± 11.0
    31.4 ± 10.4
    Notes
    [41] - n=50, 34, 47, 25, 48, 34, 46, 25
    [42] - n=57,40, 55, 32, 55, 40, 52, 31
    No statistical analyses for this end point

    Secondary: Phase 2: Mean Plasma Cmax of MMAE

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    End point title
    Phase 2: Mean Plasma Cmax of MMAE [43]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n' = Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    46 [44]
    54 [45]
    Units: ng/mL
    arithmetic mean (standard deviation)
        Cycle 1 Day 1
    5.49 ± 2.62
    5.49 ± 2.80
        Cycle 1 Day 15
    2.95 ± 1.66
    2.81 ± 1.57
        Cycle 3 Day 1
    1.75 ± 0.643
    1.69 ± 0.635
        Cycle 3 Day 15
    1.74 ± 0.599
    1.61 ± 0.597
    Notes
    [44] - n=46,31,45,24
    [45] - n=54,37,53,31
    No statistical analyses for this end point

    Secondary: Phase 2: Mean Serum AUC0-15d of Brentuximab Vedotin and TAb

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    End point title
    Phase 2: Mean Serum AUC0-15d of Brentuximab Vedotin and TAb [46]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [47]
    57 [48]
    Units: day*µg/mL
    arithmetic mean (standard deviation)
        AUC0-15d of Brentuximab Vedotin at Cycle 1 Day 1
    49.7 ± 17.2
    48.8 ± 16.3
        AUC0-15d of Brentuximab Vedotin at Cycle 1 Day 15
    54.9 ± 22.2
    54.0 ± 20.6
        AUC0-15d of Brentuximab Vedotin at Cycle 3 Day 1
    62.6 ± 16.9
    63.9 ± 18.6
        AUC0-15d of Brentuximab Vedotin at Cycle 3 Day 15
    60.6 ± 11.1
    61.4 ± 11.5
        AUC0-15d of TAb at Cycle 1 Day 1
    77.2 ± 18.6
    77.6 ± 18.0
        AUC0-15d of TAb at Cycle 1 Day 15
    97.3 ± 28.7
    98.1 ± 27.0
        AUC0-15d of TAb at Cycle 3 Day 1
    119 ± 30.6
    120 ± 29.1
        AUC0-15d of TAb at Cycle 3 Day 15
    124 ± 21.6
    125 ± 24.1
    Notes
    [47] - n=50, 34, 47, 24, 48, 33, 46, 23
    [48] - n=57,40, 54, 30, 55, 39, 52, 29
    No statistical analyses for this end point

    Secondary: Phase 2: Mean Plasma AUC0-15 of MMAE

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    End point title
    Phase 2: Mean Plasma AUC0-15 of MMAE [49]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    41 [50]
    48 [51]
    Units: day*ng/mL
    arithmetic mean (standard deviation)
        Cycle 1 Day 1
    31.2 ± 16.2
    31.0 ± 16.8
        Cycle 1 Day 15
    18.4 ± 11.9
    17.9 ± 11.4
        Cycle 3 Day 1
    11.5 ± 5.16
    11.1 ± 4.93
        Cycle 3 Day 15
    12.3 ± 6.12
    11.3 ± 5.90
    Notes
    [50] - n=40, 28, 41, 16
    [51] - n=47, 31, 48, 20
    No statistical analyses for this end point

    Secondary: Phase 2: Median Tmax of Brentuximab Vedotin and TAb in Serum

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    End point title
    Phase 2: Median Tmax of Brentuximab Vedotin and TAb in Serum [52]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. 'n'= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [52] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [53]
    57 [54]
    Units: hour
    median (full range (min-max))
        Tmax of Brentuximab Vedotin at Cycle 1 Day 1
    1.03 (0.530 to 164)
    1.00 (0.530 to 164)
        Tmax of Brentuximab Vedotin at Cycle 1 Day 15
    1.00 (0.500 to 22.7)
    1.00 (0.500 to 22.7)
        Tmax of Brentuximab Vedotin at Cycle 3 Day 1
    1.00 (0.00 to 23.0)
    1.00 (0.00 to 23.0)
        Tmax of Brentuximab Vedotin at Cycle 3 Day 15
    1.00 (0.520 to 1.50)
    1.00 (0.520 to 1.50)
        Tmax of TAb at Cycle 1 Day 1
    1.01 (0.530 to 20.8)
    1.00 (0.530 to 20.8)
        Tmax of TAb at Cycle 1 Day 15
    1.00 (0.500 to 334)
    1.00 (0.500 to 334)
        Tmax of TAb at Cycle 3 Day 1
    1.00 (0.00 to 23.3)
    1.00 (0.00 to 23.3)
        Tmax of TAb at Cycle 3 Day 15
    1.00 (0.520 to 1.50)
    1.00 (0.520 to 1.50)
    Notes
    [53] - n=50, 34, 47, 25, 48, 34, 46, 25
    [54] - n=57,40, 55, 32, 55, 40, 52, 31
    No statistical analyses for this end point

    Secondary: Phase 2: Median Tmax of MMAE in Plasma

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    End point title
    Phase 2: Median Tmax of MMAE in Plasma [55]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The PK population included participants with sufficient data to enable calculation of at least 1 PK parameter, with data available for analyses. "n"= Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Days 1 and 15 of Cycles 1 and 3 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [55] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    46 [56]
    54 [57]
    Units: hour
    median (full range (min-max))
        Cycle 1 Day 1
    44.1 (19.7 to 72.0)
    44.4 (19.7 to 72.0)
        Cycle 1 Day 15
    42.9 (20.0 to 72.0)
    42.9 (20.0 to 72.0)
        Cycle 3 Day 1
    44.9 (20.3 to 71.7)
    45.3 (20.3 to 71.7)
        Cycle 3 Day 15
    45.4 (20.0 to 71.7)
    46.0 (20.0 to 71.7)
    Notes
    [56] - n=46,31,45,34
    [57] - n=54,37,53,31
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Who Experienced Peripheral Neuropathy, Regardless of Seriousness, From the First Dose of Protocol Therapy

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    End point title
    Phase 2: Percentage of Participants Who Experienced Peripheral Neuropathy, Regardless of Seriousness, From the First Dose of Protocol Therapy [58]
    End point description
    Peripheral Neuropathy (PN) was defined by the peripheral neuropathy standardized MedDRA query (SMQ) broad search. This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety population included participants who received at least 1 dose of any drug in the A+AVD regimen.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [58] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
        number (not applicable)
    20
    19
    No statistical analyses for this end point

    Secondary: Phase 2: Time to Onset and Resolution for All Peripheral Neuropathy Events

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    End point title
    Phase 2: Time to Onset and Resolution for All Peripheral Neuropathy Events [59]
    End point description
    Time to onset of first event was defined as time from first dose of study drug to onset of first treatment-emergent PN event. Time to resolution was calculated as the time from onset date to the date of resolution PN (SMQ) event. Participants with multiple resolved events were counted once at the longest time to resolution. Resolution was defined as an event outcome of resolved or resolved with sequelae. This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The safety population included participants who received at least 1 dose of any drug in the A+AVD regimen. Overall number analyzed signifies participants who had peripheral neuropathy were analyzed for this outcome measure, 'n' = number analyzed are participants with evaluable for the specific category.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [59] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    12 [60]
    14 [61]
    Units: weeks
    median (full range (min-max))
        Time to Onset
    5.93 (0.9 to 19.9)
    5.93 (0.9 to 19.9)
        Time to Resolution
    1.57 (0.3 to 100.3)
    1.57 (0.3 to 100.3)
    Notes
    [60] - n=12,11
    [61] - n=14,13
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline Immunoglobulin G Levels at End of Treatment (EOT)

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline Immunoglobulin G Levels at End of Treatment (EOT) [62]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. 'n'= Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline and End of Treatment (Month 7)
    Notes
    [62] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [63]
    58 [64]
    Units: g/L
    arithmetic mean (standard deviation)
        Baseline
    16.518 ± 5.5306
    16.217 ± 5.2175
        Change from Baseline at EOT
    -4.822 ± 4.8964
    -4.675 ± 4.7204
    Notes
    [63] - n=50,50
    [64] - n=58,57
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants With Low and High ATA Titer Values

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    End point title
    Phase 1: Percentage of Participants With Low and High ATA Titer Values [65]
    End point description
    High and low ATA titer was defined for the ATA positive (transiently or persistently positive) participants only. High ATA titer was defined as participants who have at least one postbaseline ATA titer > 25. Low ATA titer was defined as participants whose postbaseline ATA titer are all <= 25. This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immunogenicity population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment. Immunogenicity population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment.
    End point type
    Secondary
    End point timeframe
    Up to 6 months
    Notes
    [65] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
    number (not applicable)
        ATA Titer low
    13
        ATA Titer High
    0
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants With Low and High ATA Titer Values

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    End point title
    Phase 2: Percentage of Participants With Low and High ATA Titer Values [66]
    End point description
    High and low ATA titer was defined for the ATA positive (transiently or persistently positive) participants only. High ATA titer was defined as participants who have at least one postbaseline ATA titer >25. Low ATA titer was defined as participants whose postbaseline ATA titer are all <=25. This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immunogenicity population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment.
    End point type
    Secondary
    End point timeframe
    Up to 6 months
    Notes
    [66] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: percentage of participants
    number (not applicable)
        ATA Titer Low
    6
    7
        ATA Titer High
    0
    0
    No statistical analyses for this end point

    Secondary: Phase 1 and 2: Mean Cmax of Brentuximab Vedotin in ATA Positive and ATA Negative Participants

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    End point title
    Phase 1 and 2: Mean Cmax of Brentuximab Vedotin in ATA Positive and ATA Negative Participants
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. No sufficient number of participants with positive ATA status was available, thus the impact of ATA status on the pharmacokinetic parameters could not be assessed. Hence data is not available for this outcome measure.
    End point type
    Secondary
    End point timeframe
    Cycle 1 and 3: Days 1 and 15 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    0 [67]
    0 [68]
    0 [69]
    Units: ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    Notes
    [67] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [68] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [69] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    No statistical analyses for this end point

    Secondary: Phase 1 and 2: Mean AUC 0-15 of Brentuximab Vedotin in ATA Positive and ATA Negative Participants

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    End point title
    Phase 1 and 2: Mean AUC 0-15 of Brentuximab Vedotin in ATA Positive and ATA Negative Participants
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. No sufficient number of participants with positive ATA status was available, thus the impact of ATA status on the pharmacokinetic parameters could not be assessed. Hence data is not available for this outcome measure.
    End point type
    Secondary
    End point timeframe
    Cycle 1 and 3: Days 1 and 15 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    0 [70]
    0 [71]
    0 [72]
    Units: day*ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    ±
    Notes
    [70] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [71] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [72] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    No statistical analyses for this end point

    Secondary: Phase 1: Percentage of Participants Achieving CR Per IRF Assessment Per IWG Criteria in ATA Positive and ATA Negative Participants

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    End point title
    Phase 1: Percentage of Participants Achieving CR Per IRF Assessment Per IWG Criteria in ATA Positive and ATA Negative Participants [73]
    End point description
    CR was defined as the disappearance of all evidence of disease as assessed by IRF as per IWG Criteria. The data is reported per ATA status as categories. This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. Immunogenicity population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [73] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: percentage of participants
    number (confidence interval 95%)
        ATA Negative who Achieved CR
    86 (42 to 100)
        Transiently ATA Positive who Achieved CR
    100 (3 to 100)
    No statistical analyses for this end point

    Secondary: Phase 1: Number of ATA Positive and ATA Negative Participants With AEs and SAEs

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    End point title
    Phase 1: Number of ATA Positive and ATA Negative Participants With AEs and SAEs [74]
    End point description
    This outcome measure is planned to be assessed only for participants treated in Phase 1 arm. The Safety Population included participants who received at least 1 dose of any drug in the A+AVD regimen, with data available for analyses.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [74] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 1 only.
    End point values
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    8
    Units: participants
    number (not applicable)
        ATA Negative: AEs
    7
        ATA Positive: AEs
    1
        ATA Negative: SAEs
    0
        ATA Positive: SAEs
    1
    No statistical analyses for this end point

    Secondary: Phase 2: Mean Cmax of Brentuximab Vedotin in ATA Positive and ATA Negative Participants

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    End point title
    Phase 2: Mean Cmax of Brentuximab Vedotin in ATA Positive and ATA Negative Participants [75]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. No sufficient number of participants with positive ATA status was available, thus the impact of ATA status on the pharmacokinetic parameters could not be assessed. Hence data is not available for this outcome measure.
    End point type
    Secondary
    End point timeframe
    Cycle 1-6: Days 1 and 15 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [75] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    0 [76]
    0 [77]
    Units: ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    Notes
    [76] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [77] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    No statistical analyses for this end point

    Secondary: Phase 2: Mean AUC 0-15 of Brentuximab Vedotin in ATA Positive and ATA Negative Participants

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    End point title
    Phase 2: Mean AUC 0-15 of Brentuximab Vedotin in ATA Positive and ATA Negative Participants [78]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. No sufficient number of participants with positive ATA status was available, thus the impact of ATA status on the pharmacokinetic parameters could not be assessed. Hence data is not available for this outcome measure.
    End point type
    Secondary
    End point timeframe
    Cycle 1-6: Days 1 and 15 pre-infusion and up to 30 minutes after the end of infusion (Cycle length=28 days)
    Notes
    [78] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    0 [79]
    0 [80]
    Units: day*ng/mL
        arithmetic mean (standard deviation)
    ±
    ±
    Notes
    [79] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    [80] - Data not available for this endpoint, no sufficient number of participants with positive ATA status.
    No statistical analyses for this end point

    Secondary: Phase 2: Percentage of Participants Achieving CR Per IRF Assessment Per IWG Criteria in ATA Positive and ATA Negative Participants

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    End point title
    Phase 2: Percentage of Participants Achieving CR Per IRF Assessment Per IWG Criteria in ATA Positive and ATA Negative Participants [81]
    End point description
    CR is defined as the disappearance of all evidence of disease as assessed by IRF as per IWG Criteria. This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immunogenicity Population included participants who received at least 1 dose of study drug and had the baseline immunogenicity sample and at least 1 postbaseline immunogenicity sample assessment. 'n'= Number analyzed is the number of participants analyzed for the specified category.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [81] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51 [82]
    59 [83]
    Units: percentage of participants
    number (confidence interval 95%)
        ATA Negative
    75 (60 to 86)
    76 (63 to 87)
        Transiently ATA Positive
    67 (9 to 99)
    75 (19 to 99)
    Notes
    [82] - n=48,3
    [83] - n=55,4
    No statistical analyses for this end point

    Secondary: Phase 2: Number of ATA Positive and ATA Negative Participants With AEs and SAEs

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    End point title
    Phase 2: Number of ATA Positive and ATA Negative Participants With AEs and SAEs [84]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. The Safety Population included participants who received at least 1 dose of any drug in the A+AVD regimen.
    End point type
    Secondary
    End point timeframe
    Up to 24 months
    Notes
    [84] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    51
    59
    Units: participants
    number (not applicable)
        ATA Negative: AEs
    48
    55
        ATA Positive: AEs
    3
    4
        ATA Negative: SAEs
    21
    21
        ATA Positive: SAEs
    2
    3
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Immunoglobulin M at the End of Treatment (EOT)

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Immunoglobulin M at the End of Treatment (EOT) [85]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation, with data available for analyses. 'n' = Number analyzed is number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [85] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    48 [86]
    56 [87]
    Units: g/L
    arithmetic mean (standard deviation)
        Baseline
    1.275 ± 0.5065
    1.261 ± 0.4824
        Change at EOT (Month 7)
    1.261 ± 0.4824
    -0.375 ± 0.5766
    Notes
    [86] - n=48,46
    [87] - n=56,53
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Immunoglobulin A at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Immunoglobulin A at EOT [88]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the participants with data available for analyses. 'n' = Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [88] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    48 [89]
    57 [90]
    Units: g/L
    arithmetic mean (standard deviation)
        Baseline
    2.708 ± 1.2379
    2.671 ± 1.1879
        Change from Baseline at EOT
    -0.195 ± 1.0479
    -0.125 ± 1.0844
    Notes
    [89] - n=48,47
    [90] - n-57,54
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Tetanus at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Tetanus at EOT [91]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. Number analyzed =number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [91] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    48 [92]
    56 [93]
    Units: (IU)/mL
    arithmetic mean (standard deviation)
        Baseline
    1.636 ± 2.5600
    1.935 ± 3.0358
        Change from Baseline at EOT
    -0.648 ± 1.3412
    -0.914 ± 2.2679
    Notes
    [92] - n=48,42
    [93] - n=56,49
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Haemophilus Influenzae B Antibody, IgG at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Haemophilus Influenzae B Antibody, IgG at EOT [94]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [94] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [95]
    58 [96]
    Units: µg/mL
    arithmetic mean (standard deviation)
        Baseline
    10.39 ± 27.017
    9.50 ± 25.167
        Change from Baseline at EOT
    -7.00 ± 24.258
    -6.03 ± 23.160
    Notes
    [95] - n=50,49
    [96] - n=58,55
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline Poliovirus Antibodies at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline Poliovirus Antibodies at EOT [97]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. 'n' = Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [97] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    50 [98]
    58 [99]
    Units: ratio
    arithmetic mean (standard deviation)
        Baseline: Type I
    0.02447 ± 0.027568
    0.02373 ± 0.028092
        EOT: Type I
    0.00913 ± 0.022423
    0.00845 ± 0.023091
        Baseline: Type III
    0.03641 ± 0.036709
    0.03432 ± 0.036653
        EOT: Type III
    0.01141 ± 0.029889
    0.01013 ± 0.028461
    Notes
    [98] - n=50,50,50,50
    [99] - n=58,56,58,56
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Poliovirus Antibodies Ratio at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Poliovirus Antibodies Ratio at EOT [100]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. 'n' = Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [100] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    48 [101]
    56 [102]
    Units: mg/dl
    arithmetic mean (standard deviation)
        Baseline
    2086.6 ± 615.62
    2045.1 ± 583.04
        Change from Baseline at EOT
    -582.3 ± 565.52
    -556.3 ± 553.97
    Notes
    [101] - n=48,46
    [102] - n=56,56
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Peripheral Blood CD34+A at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Peripheral Blood CD34+A at EOT [103]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. 'n' = Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [103] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    38 [104]
    44 [105]
    Units: µL
    arithmetic mean (standard deviation)
        Baseline
    4.182 ± 4.1227
    3.917 ± 3.8917
        Change from Baseline at EOT
    -1.512 ± 4.7075
    -1.456 ± 4.3472
    Notes
    [104] - n=38,29
    [105] - n=44,34
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in Total Lymphocyte Count at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in Total Lymphocyte Count at EOT [106]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [106] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    49 [107]
    57 [108]
    Units: 10^9 lymphocytes/L
    arithmetic mean (standard deviation)
        Baseline
    1.8022 ± 0.95206
    1.7408 ± 0.91394
        Change from Baseline at EOT
    0.6736 ± 3.77611
    0.5965 ± 3.50121
    Notes
    [107] - n=49,48
    [108] - n=57,56
    No statistical analyses for this end point

    Secondary: Phase 2: Immune Reconstitution-Change From Baseline in the Percentage of CD4+ (CD4+CD45RA-CD197- and CD4+CD45RA+CD197+) and CD8+ (CD8+CD45RA-CD197- and CD8+CD45RA-CD197+) Subset of Cells at EOT

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    End point title
    Phase 2: Immune Reconstitution-Change From Baseline in the Percentage of CD4+ (CD4+CD45RA-CD197- and CD4+CD45RA+CD197+) and CD8+ (CD8+CD45RA-CD197- and CD8+CD45RA-CD197+) Subset of Cells at EOT [109]
    End point description
    This outcome measure was planned to be assessed only for all participants treated at the recommended dose in Phase 2. As prespecified in SAP, data for Phase 2 was summarized and reported in two arms: Phase 2 and Phase 1 + Phase 2. Immune Reconstitution Population included participants who received at least 1 dose of study drug and had a sufficient immune reconstitution blood sampling to allow for immune reconstitution evaluation. Overall number analyzed are the number of participants with data available for analyses. 'n' = Number analyzed= number of participants with data available for analysis at the given time point.
    End point type
    Secondary
    End point timeframe
    Baseline, EOT [Month 7]
    Notes
    [109] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: The endpoint was planned to be reported in Phase 2 only.
    End point values
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1+ 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Number of subjects analysed
    32 [110]
    39 [111]
    Units: percentage of CD4+ and CD8+ subset cells
    arithmetic mean (standard deviation)
        Baseline: CD4+CD45RA-CD197-
    28.0 ± 12.76
    29.0 ± 13.42
        Change from Baseline at EOT: CD4+CD45RA-CD197-
    -5.0 ± 17.72
    -5.1 ± 16.44
        Baseline: CD4+CD45RA-CD197+
    23.7 ± 14.33
    22.3 ± 13.86
        Change from Baseline at EOT: CD4+CD45RA-CD197+
    13.0 ± 14.14
    12.6 ± 13.21
        Baseline: CD4+CD45RA+CD197-
    2.9 ± 3.41
    3.1 ± 3.22
        Change from Baseline at EOT: CD4+CD45RA+CD197-
    -0.7 ± 2.25
    -0.7 ± 2.41
        Baseline: CD4+CD45RA+CD197+
    46.2 ± 14.44
    46.3 ± 14.89
        Change from Baseline at EOT: CD4+CD45RA+CD197+
    -7.2 ± 11.60
    -6.8 ± 11.04
        Baseline: CD8+CD45RA-CD197-
    39.9 ± 19.32
    40.6 ± 20.00
        Change from Baseline at EOT: CD8+CD45RA-CD197-
    -11.5 ± 13.85
    -11.0 ± 14.33
        Baseline: CD8+CD45RA-CD197+
    2.4 ± 1.81
    2.3 ± 1.76
        Change from Baseline at EOT: CD8+CD45RA-CD197+
    1.6 ± 2.52
    2.1 ± 3.08
        Baseline: CD8+CD45RA+CD197-
    25.9 ± 15.43
    25.8 ± 14.60
        Change from Baseline at EOT: CD8+CD45RA+CD197-
    -6.0 ± 11.27
    -6.5 ± 11.83
        Baseline: CD8+CD45RA+CD197+
    31.3 ± 18.00
    30.8 ± 18.53
        Change from Baseline at EOT: CD8+CD45RA+CD197+
    15.7 ± 11.48
    15.4 ± 12.15
    Notes
    [110] - n=39,29,29,23,39,29,39,29,39,29,35,26,39,29,39,29
    [111] - n=32,23,32,29, 32,23,32, 23,32, 23, 28,20,32,23,32,23
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dose of study drug up to 30 days post last dose (Up to approximately 4 years)
    Adverse event reporting additional description
    The Safety Population included participants who received at least 1 dose of any drug in the A+AVD regimen. Data is reported in 2 arms: Phase 1 includes participants who received at least one dose of study drug in Phase 1 and continued to Phase 2 to receive the same drug; Phase 2 included participants who were enrolled directly in Phase 2.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0
    Reporting groups
    Reporting group title
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles.

    Reporting group title
    Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Reporting group description
    Brentuximab vedotin 48 mg/m^2 (A), intravenous infusion, once on Days 1 and 15 of each 28-day cycle approximately 1 hour after administration of doxorubicin 25 mg/m^2, vinblastine 6 mg/m^2, and dacarbazine 375 mg/m^2 (AVD), intravenous infusion, once on Days 1 and 15 of each 28-day cycle for up to 6 cycles. Participants who received at least one dose of study in Phase 1 and continued to receive the study drug in Phase 2 were included in this arm group.

    Serious adverse events
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Total subjects affected by serious adverse events
         subjects affected / exposed
    23 / 51 (45.10%)
    1 / 8 (12.50%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Investigations
    Neutrophil count decreased
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 7
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    White blood cell count decreased
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Venous thrombosis
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Intracardiac thrombus
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Peripheral motor neuropathy
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Posterior reversible encephalopathy syndrome
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Febrile neutropenia
         subjects affected / exposed
    9 / 51 (17.65%)
    1 / 8 (12.50%)
         occurrences causally related to treatment / all
    9 / 17
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neutropenia
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Anaemia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mucosal inflammation
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    2 / 4
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorder
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal pain upper
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colitis
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory distress syndrome
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypoxia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumothorax
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Sepsis
         subjects affected / exposed
    2 / 51 (3.92%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bacteraemia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Herpes zoster
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lip infection
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin infection
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyperuricaemia
         subjects affected / exposed
    1 / 51 (1.96%)
    0 / 8 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Phase 2: Brentuximab Vedotin 48 mg/m^2 + AVD Phase 1: Brentuximab Vedotin 48 mg/m^2 + AVD
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    51 / 51 (100.00%)
    8 / 8 (100.00%)
    Vascular disorders
    Hyperaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    2 / 8 (25.00%)
         occurrences all number
    0
    2
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    20 / 51 (39.22%)
    4 / 8 (50.00%)
         occurrences all number
    27
    5
    Fatigue
         subjects affected / exposed
    9 / 51 (17.65%)
    3 / 8 (37.50%)
         occurrences all number
    12
    6
    Asthenia
         subjects affected / exposed
    3 / 51 (5.88%)
    5 / 8 (62.50%)
         occurrences all number
    6
    7
    Catheter site pain
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 8 (12.50%)
         occurrences all number
    3
    1
    Pain
         subjects affected / exposed
    6 / 51 (11.76%)
    0 / 8 (0.00%)
         occurrences all number
    7
    0
    Chills
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 8 (12.50%)
         occurrences all number
    3
    1
    Influenza like illness
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    4
    0
    Non-cardiac chest pain
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Reproductive system and breast disorders
    Pelvic pain
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    10 / 51 (19.61%)
    3 / 8 (37.50%)
         occurrences all number
    11
    3
    Cough
         subjects affected / exposed
    8 / 51 (15.69%)
    1 / 8 (12.50%)
         occurrences all number
    9
    1
    Nasal congestion
         subjects affected / exposed
    5 / 51 (9.80%)
    2 / 8 (25.00%)
         occurrences all number
    5
    4
    Rhinitis allergic
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    4
    0
    Pharyngeal erythema
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Laryngeal pain
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Dyspnoea
         subjects affected / exposed
    5 / 51 (9.80%)
    0 / 8 (0.00%)
         occurrences all number
    6
    0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    6 / 51 (11.76%)
    1 / 8 (12.50%)
         occurrences all number
    8
    1
    Insomnia
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 8 (12.50%)
         occurrences all number
    3
    2
    Investigations
    White blood cell count decreased
         subjects affected / exposed
    20 / 51 (39.22%)
    5 / 8 (62.50%)
         occurrences all number
    94
    21
    Neutrophil count decreased
         subjects affected / exposed
    18 / 51 (35.29%)
    4 / 8 (50.00%)
         occurrences all number
    78
    18
    Weight decreased
         subjects affected / exposed
    12 / 51 (23.53%)
    1 / 8 (12.50%)
         occurrences all number
    23
    1
    Lymphocyte count decreased
         subjects affected / exposed
    7 / 51 (13.73%)
    0 / 8 (0.00%)
         occurrences all number
    32
    0
    Polymerase chain reaction positive
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 8 (12.50%)
         occurrences all number
    6
    1
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 8 (25.00%)
         occurrences all number
    1
    2
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    7
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Injury, poisoning and procedural complications
    Nail avulsion
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Cardiac disorders
    Sinus tachycardia
         subjects affected / exposed
    5 / 51 (9.80%)
    0 / 8 (0.00%)
         occurrences all number
    6
    0
    Palpitations
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    14 / 51 (27.45%)
    5 / 8 (62.50%)
         occurrences all number
    20
    7
    Dizziness
         subjects affected / exposed
    6 / 51 (11.76%)
    1 / 8 (12.50%)
         occurrences all number
    7
    1
    Peripheral sensory neuropathy
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 8 (25.00%)
         occurrences all number
    4
    4
    Paraesthesia
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Peripheral motor neuropathy
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Dysgeusia
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    20 / 51 (39.22%)
    8 / 8 (100.00%)
         occurrences all number
    170
    40
    Anaemia
         subjects affected / exposed
    12 / 51 (23.53%)
    1 / 8 (12.50%)
         occurrences all number
    27
    1
    Leukopenia
         subjects affected / exposed
    5 / 51 (9.80%)
    1 / 8 (12.50%)
         occurrences all number
    7
    2
    Thrombocytopenia
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Eye disorders
    Conjunctival hyperaemia
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Eyelid oedema
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Vomiting
         subjects affected / exposed
    42 / 51 (82.35%)
    8 / 8 (100.00%)
         occurrences all number
    139
    65
    Nausea
         subjects affected / exposed
    36 / 51 (70.59%)
    8 / 8 (100.00%)
         occurrences all number
    107
    24
    Stomatitis
         subjects affected / exposed
    21 / 51 (41.18%)
    4 / 8 (50.00%)
         occurrences all number
    24
    6
    Abdominal pain
         subjects affected / exposed
    21 / 51 (41.18%)
    2 / 8 (25.00%)
         occurrences all number
    40
    2
    Constipation
         subjects affected / exposed
    17 / 51 (33.33%)
    4 / 8 (50.00%)
         occurrences all number
    31
    6
    Diarrhoea
         subjects affected / exposed
    10 / 51 (19.61%)
    4 / 8 (50.00%)
         occurrences all number
    20
    5
    Abdominal pain upper
         subjects affected / exposed
    7 / 51 (13.73%)
    8 / 8 (100.00%)
         occurrences all number
    7
    5
    Oral pain
         subjects affected / exposed
    7 / 51 (13.73%)
    1 / 8 (12.50%)
         occurrences all number
    7
    1
    Odynophagia
         subjects affected / exposed
    3 / 51 (5.88%)
    2 / 8 (25.00%)
         occurrences all number
    4
    2
    Dyspepsia
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 8 (12.50%)
         occurrences all number
    2
    1
    Toothache
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Mouth ulceration
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Hepatobiliary disorders
    Hepatotoxicity
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    11 / 51 (21.57%)
    0 / 8 (0.00%)
         occurrences all number
    13
    0
    Pruritus
         subjects affected / exposed
    7 / 51 (13.73%)
    0 / 8 (0.00%)
         occurrences all number
    8
    0
    Rash maculo-papular
         subjects affected / exposed
    4 / 51 (7.84%)
    2 / 8 (25.00%)
         occurrences all number
    6
    2
    Dermatitis contact
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 8 (12.50%)
         occurrences all number
    3
    1
    Dry skin
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 8 (12.50%)
         occurrences all number
    2
    1
    Erythema
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 8 (25.00%)
         occurrences all number
    1
    2
    Papule
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 8 (12.50%)
         occurrences all number
    2
    1
    Rash
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Urticaria
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Dermatitis acneiform
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    2
    1
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    12 / 51 (23.53%)
    2 / 8 (25.00%)
         occurrences all number
    16
    6
    Arthralgia
         subjects affected / exposed
    8 / 51 (15.69%)
    1 / 8 (12.50%)
         occurrences all number
    12
    1
    Bone pain
         subjects affected / exposed
    8 / 51 (15.69%)
    0 / 8 (0.00%)
         occurrences all number
    19
    0
    Pain in extremity
         subjects affected / exposed
    6 / 51 (11.76%)
    2 / 8 (25.00%)
         occurrences all number
    6
    3
    Myalgia
         subjects affected / exposed
    5 / 51 (9.80%)
    1 / 8 (12.50%)
         occurrences all number
    5
    1
    Pain in jaw
         subjects affected / exposed
    6 / 51 (11.76%)
    0 / 8 (0.00%)
         occurrences all number
    7
    0
    Groin pain
         subjects affected / exposed
    2 / 51 (3.92%)
    1 / 8 (12.50%)
         occurrences all number
    3
    1
    Muscular weakness
         subjects affected / exposed
    3 / 51 (5.88%)
    0 / 8 (0.00%)
         occurrences all number
    3
    0
    Musculoskeletal pain
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 8 (25.00%)
         occurrences all number
    1
    2
    Spinal pain
         subjects affected / exposed
    1 / 51 (1.96%)
    2 / 8 (25.00%)
         occurrences all number
    1
    2
    Infections and infestations
    Rhinitis
         subjects affected / exposed
    7 / 51 (13.73%)
    3 / 8 (37.50%)
         occurrences all number
    9
    4
    Upper respiratory tract infection
         subjects affected / exposed
    5 / 51 (9.80%)
    1 / 8 (12.50%)
         occurrences all number
    5
    1
    Conjunctivitis
         subjects affected / exposed
    4 / 51 (7.84%)
    2 / 8 (25.00%)
         occurrences all number
    4
    6
    Oral herpes
         subjects affected / exposed
    4 / 51 (7.84%)
    1 / 8 (12.50%)
         occurrences all number
    4
    1
    Influenza
         subjects affected / exposed
    1 / 51 (1.96%)
    1 / 8 (12.50%)
         occurrences all number
    1
    1
    Pharyngitis
         subjects affected / exposed
    3 / 51 (5.88%)
    1 / 8 (12.50%)
         occurrences all number
    3
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    12 / 51 (23.53%)
    2 / 8 (25.00%)
         occurrences all number
    21
    2
    Dehydration
         subjects affected / exposed
    5 / 51 (9.80%)
    0 / 8 (0.00%)
         occurrences all number
    5
    0
    Acidosis
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Hyperuricaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1
    Hypoalbuminaemia
         subjects affected / exposed
    0 / 51 (0.00%)
    1 / 8 (12.50%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    10 Dec 2019
    The following changes were implemented as per Amendment 3: 1. Optional long-term follow-up procedures are added 2. Protocol signatory updates 3. Adjusted the total number of participating sites.
    11 Jun 2021
    The following changes were implemented as per Amendment 4: 1. Modifications in study conduct instituted in response to the COVID-19 pandemic. 2. Clarification of time points for analysis and reporting of study results. 3. Additional guidance pertaining to the long-term follow-up procedures. 4. Updated sponsor name.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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